Preventing Falls Among Behavioral Health Patients
| Autor: | Melanie M Heuston, Norma Bollinger, Cynthia Ann Leaver, Sarah Harne-Britner, Sandra A Barton, Stephanie Ann Ocker |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
medicine.medical_specialty Quality management Evidence-based practice Morse Fall Scale Population MEDLINE Nursing Staff Hospital Risk Assessment 03 medical and health sciences Acute care Humans Medicine education General Nursing Inpatients education.field_of_study 030504 nursing business.industry Mental Disorders General Medicine Quality Improvement Evidence-Based Practice Emergency medicine Accidental Falls 0305 other medical science business Root cause analysis Fall prevention |
| Zdroj: | AJN, American Journal of Nursing. 120:61-68 |
| ISSN: | 0002-936X |
| DOI: | 10.1097/01.naj.0000688256.96880.a3 |
| Popis: | Background Inpatient falls are among the most common hospital incidents reported. Fall-related injuries have significant implications for patients, staff, and organizations. Adult behavioral health inpatients are responsible for higher rates of injurious falls and challenge traditional fall prevention methods. An inpatient behavioral health unit in an acute care hospital identified an increased rate of injury from falls per 1,000 patient-days in three months; three falls resulted in major injury. Purpose The purpose of this quality improvement (QI) report is to describe the redesign of a fall prevention program for adult behavioral health inpatients using evidence-based practice (EBP) and QI methods. Methods Root cause analyses (RCAs) were conducted on all three fall-related major injuries. Concurrently, a literature review identified EBP recommendations for fall prevention on behavioral health units. A fall prevention action program was developed consisting of four elements: RN education to improve Morse Fall Scale scoring, individualized fall prevention patient plans, revised staff workflow, and improved fall prevention communication. Results There were no fall-related injuries for six months and no fall-related major injuries for 12 months following implementation of the fall prevention program. Overall, this reduction in fall-related major injuries was sustained over a 21-month period. Conclusion An interprofessional team approach using EBP and RCA is effective in redesigning and implementing a fall prevention program for the adult inpatient behavioral health population. |
| Databáze: | OpenAIRE |
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